Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.16 / $566.54 / $566.54	Professional		$482.16	$566.54	$566.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $2,493.67	Professional		$120.54	$120.54	$2,493.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $916.95 / $916.95 / $916.95	Facility		$916.95	$916.95	$916.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,658.96 / $1,938.63 / $2,973.91	Facility		$1,658.96	$1,938.63	$2,973.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.38 / $1,622.95 / $1,844.26	Professional		$713.38	$1,622.95	$1,844.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $464.08 / $723.24 / $2,109.44	Facility		$464.08	$723.24	$2,109.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $464.08 / $723.24 / $2,109.44	Facility		$464.08	$723.24	$2,109.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $361.62 / $1,858.64	Professional		$301.35	$361.62	$1,858.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $464.08 / $723.24 / $2,109.44	Facility		$464.08	$723.24	$2,109.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,006.02 / $1,436.93 / $2,015.39	Professional		$1,006.02	$1,436.93	$2,015.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,205.40 / $2,862.83 / $2,862.83	Facility		$1,205.40	$2,862.83	$2,862.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,410.80 / $2,410.80 / $3,001.45	Professional		$2,410.80	$2,410.80	$3,001.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.48 / $1,283.48 / $1,283.48	Professional		$1,283.48	$1,283.48	$1,283.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,290.74 / $3,290.74 / $3,290.74	Professional		$3,290.74	$3,290.74	$3,290.74
United Facility/Professional Professional Modifier Low / Median / High Price $261.99 / $361.62 / $1,121.86	Professional		$261.99	$361.62	$1,121.86